• Ld Dir, PBM Underwriting

    CVS Health (Harrisburg, PA)
    …and maintaining a deep understanding of PBM financial levers within Commercial, Medicaid, Medicare Part D, and Public Exchange lines of business. + Conduct market ... of different lines of business (ex. fully insured, ASO, Medicaid, Medicare , Exchanges) to provide relevant recommendations and to influence client adoption… more
    CVS Health (08/09/25)
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  • General & Product Liability Complex Claim Examiner…

    Sedgwick (Philadelphia, PA)
    …limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to requests ... principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business. + Excellent oral… more
    Sedgwick (08/08/25)
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  • Assistant Service Coordinator- Must be located…

    UPMC (Pittsburgh, PA)
    …individuals with physical disabilities in the Commonwealth who are covered by Medicare and Medicaid. The CHC Assistant Service Coordinator assists in providing ... needs through other sources, including services provided under Medical Assistance, Medicare or private insurance and other community resources. + Actively… more
    UPMC (08/08/25)
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  • Service Coordinator- Southeast, PA (Hybrid…

    UPMC (Philadelphia, PA)
    …individuals with physical disabilities in the Commonwealth who are covered by Medicare and Medicaid. To provide service coordination services across the continuum of ... needs through other sources, including services provided under Medical Assistance, Medicare or private insurance, and other community resources. + Actively… more
    UPMC (08/08/25)
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  • Referral Coordinator

    ChenMed (Philadelphia, PA)
    …inept understanding of the company's patient population, including the complexities of Medicare programs to patients in the current healthcare marketplace. + Must be ... for multiple payers strongly preferred + Healthcare experience within the Medicare Advantage population preferred. + Medical Assistant certification preferred + CPR… more
    ChenMed (08/08/25)
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  • Home Health Salaried Registered Nurse RN Full Time…

    Aveanna Healthcare (Nanticoke, PA)
    …active RN License in the state of application + Valid CPR Preferred: + Medicare Skilled Nursing experience + Basic understanding of Oasis + 1-year RN experience in ... a health care setting As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions,… more
    Aveanna Healthcare (08/08/25)
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  • Associate Eligibility Consultant

    Adecco US, Inc. (Pittsburgh, PA)
    …in MS Excel, MS Word and Outlook + Related experience of Center for Medicare /Medicaid Services (CMS) guidelines for Medicare Part D enrollment processes Click on ... **_apply now_** for instant consideration! Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and 401K plan. Our program provides employees the flexibility to… more
    Adecco US, Inc. (08/08/25)
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  • Inpatient Wound Ostomy Nurse (Full Time/Days)

    Penn Medicine (Lancaster, PA)
    …30 days of hire). + A health care provider in good standing with Medicare , Medicaid and other federal and state health insurance programs, ie not excluded from ... participation in Medicare , Medicaid or any other federal or state health insurance program. **Preferred Qualifications:** + Two 2 years of experience in a clinically… more
    Penn Medicine (08/08/25)
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  • Registered Nurse (RN), Cwic, Part-Time (Day Shift)

    Penn Medicine (Lancaster, PA)
    …30 days of hire. + A health care provider in good standing with Medicare , Medicaid, and other federal and state health insurance programs, ie not excluded from ... participation in Medicare , Medicaid or any other federal or state health insurance program. **PHYSICAL ENVIRONMENT** **WORKING CONDITIONS:** Position involves… more
    Penn Medicine (08/07/25)
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  • Clinical Service Specialist (Part time, Day shift)

    Penn Medicine (Elizabethtown, PA)
    …setting equipment. (Required) + A health care provider in good standing with Medicare , Medicaid, and other federal and state health insurance programs, ie not ... excluded from participation in Medicare , Medicaid or any other federal or state health insurance program. (Required) + One (1) year of Epic (or equivalent Electronic… more
    Penn Medicine (08/07/25)
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